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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blisters In The Mouth?

Clinical Findings
Site and nature of specimen: recurrent ulceration over tongue biopsy for H P E
Gross appearance: tinny soft tissue bit 0.5cm
Micro. Appearance: Revealed hyperplastic and dysplastic stratified .......................... squamous epithelium underlying it there are inflammatory cell collections, endarteritic micro vessels and striated muscle fibers.
No evidence of malignancy
Opinion Hyperplastc and Dysplastic epithelium with non-specific inflammation

Throat swab for culture and sensitivity and Sensitivity
Report: SW175/10


Microscope Findings:
Organism Isolated: Coagulase positive staphylococci Staphylococci grown in culture,

ANTIBIOGRAM

Antibiotic                         Sensitivity/resistant
1. Peniciline                         R
2. Streptomycin                         ++++
3. Tretracyclin                         +++norf
4. Erythromucin                         R
5.Chloromycetin                    ++++
6. furadantin                         -
7. septran                         ++
8. wintomylon                         -
9. ampicillin                         R
10. furoxone                         -
11. gentamycin                         ++++
12. kanamycin                         -
13. phexin(cephalexin)                    R
14. norbactin(norfloxacin)               R
15.ceporan                         -
16. ciprofloxacin                    ++++
                    
17.pefloxacin                         ++
18. amikacin                         ++++
19.cefotaxime                         ++++
20.cefatriaxone                         ++++
21.netilmicin sulphate usp               -
(netromycin inj :im/iv)

(R)resistant               (+)sensitive          (-)drug not used
                   





MEDICINE BEING USED

1.TELMA-40mg-01 DAILY
2.AZTOR EZ-01 DAILY
3.PREGAMET 75mg 02 (mor-eve)
4. LEAZI-GPS – 1.5 DAILY
5.GLYCOMET GP – I.5 DAILY (MOR-1 EVE-HALF)
6. TRYPEAN 10mg – 02 (MOR-1 EVE-1)
7.ECOSPIRIN 75mg – 01 daily
8.ALPAZ 1mg – 01(NIGHT)
9.ORSPASTE
10. CIPSLEX – 10mg used for 10 years and discontinued for the past 2 months
11. Using the medicine for Diabetes and High BP form last 4 years
                         complaints
1.blusters in mouth recurring
2.burning of tongue and roughen of tongue

Mon, 18 Apr 2016
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Dentist 's  Response
Hello,

The microorganisms found under microscopic study, Staphylococci, are treated best with Cefadroxyl 500 mg (Drxoxyl) twice a day for 5 days. It is safe to be taken with all the medicines you are taking regularly and it will not interact with any of them.

You can apply Triamcinolone Acetonide 0.1% (Kenacort) gel topically on the blisters and ulcers 3-5 times a day.

Avoid spicy food for some days. Drink lots of fluids. I hope this information is useful to you. Thank you for choosing HealthcareMagic.

Best,
Dr. Viraj Shah
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What Causes Blisters In The Mouth?

Hello, The microorganisms found under microscopic study, Staphylococci, are treated best with Cefadroxyl 500 mg (Drxoxyl) twice a day for 5 days. It is safe to be taken with all the medicines you are taking regularly and it will not interact with any of them. You can apply Triamcinolone Acetonide 0.1% (Kenacort) gel topically on the blisters and ulcers 3-5 times a day. Avoid spicy food for some days. Drink lots of fluids. I hope this information is useful to you. Thank you for choosing HealthcareMagic. Best, Dr. Viraj Shah